Mixed
Individualized nutritional interventions based on Mediterranean/DASH principles, adapted to local socioeconomic contexts, significantly improve glycemic control (HbA1c, FBG), anthropometric markers (weight, BMI, waist circumference), and cardiovascular risk profiles in Type 2 Diabetes patients over 12 months compared to standard medical care alone.
For Type 2 Diabetes patients, a personalized diet based on Mediterranean/DASH principles, adapted to local foods and budget, significantly improves blood sugar, weight, and heart health markers over a year. This approach works even for sedentary individuals and those with limited income, provided the plan is flexible and adjusted regularly by a nutritionist. Standard medical care alone is not enough to prevent worsening of these markers.
In the intervention group, significant reductions were observed between the first and twelfth month for all parameters (p < 0.05), (except for TC), along with an increase in HDL-C (p = 0.0105). Conversely, in the control group, there was a significant increase in HbA1c, weight, BMI, FBG, and WHR (p < 0.05) between the first and twelfth months.
Why this rating
The study is a longitudinal experimental study without randomization or blinding, which introduces potential bias, though the sample size (n=84) and duration (12 months) are reasonable.
Source
The Impact of a Nutritional Intervention on Glycemic Control and Cardiovascular Risk Markers in Type 2 Diabetes
Tatiana Palotta Minari et al. · Nutrients · 2024
DOI 10.3390/nu16091378
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